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<br />.(1 <br /> <br />('1 <br /> <br />('1 <br /> <br />n <br /> <br />n <br /> <br />PERFORt.AAN<(E BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-7111-7910 <br /> <br />c' <br /> <br />("\ <br /> <br />(1 <br />rO== <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />OWNER/ (I.. Ii _' I ~ <br />RENTER ~ MO.:"",. ~c \J \ (\ / 5'340 r>' So\-. <br /> <br />MAILING <br /> <br />('\ <br /> <br />('I <br /> <br />" <br /> <br />k,- (J5 ( ~ <br /> <br />DATE <br /> <br />3};)(0(0 <br /> <br />\)v..p\~ <br /> <br />.....> ~ <br /> <br />SERVICE ADDRESS S<6~o ~S*~~~ <br />SHUT OFF SERVICE 0 '?e e.r--i l-t '* SS09 <br />TURN ON SERVICE GJ/' <br />INSTALL METER W <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />~-- <br /> <br />?:;/4 (I - W~+ECt. ~E-t-Erz. <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />'S:. <br /> <br /> <br />ORDER GIVEN BY <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Dep!. to sign yellow form & return to office. <br /> <br />0"" WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~N CITY <br /> <br />o OUT CITY <br /> <br />I <br />_ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST Bill <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br />